Stomach-partitioning gastrojejunostomy (SPGJ) outperforms conventional gastrojejunostomy (CGJ) in managing gastric outlet obstruction (GOO).

• SPGJ reduces delayed gastric emptying by 76% (relative risk = 0.24).
• Major postoperative complications drop by 74% (relative risk = 0.26).

SPGJ offers a strong alternative to CGJ with similar survival rates and length of stay.

• No significant difference in reintervention rates or short-term mortality.